Individual
DR. JAMIE J. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
410 N WESTERN ST, SANBORN, IA 51248-1109
(712) 930-5550
(712) 930-5575
Mailing address
410 N WESTERN ST, SANBORN, IA 51248-1109
(712) 930-5550
(712) 930-5575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08639
IA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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